先天性鼻泪管阻塞不同年龄采用不同方法的治疗效果

目的探讨先天性鼻泪管阻塞根据不同年龄采用不同方法治疗效果。方法选取在本院接受治疗并有随诊记录的先天性鼻泪管阻塞的患儿97例（117眼）。根据年龄大小的不同而分别采取泪囊按摩、加压冲洗及泪道探通3种治疗方法并行疗效统计。结果年龄1～3个月患儿42例（52眼），选用泪囊挤压按摩法，31眼治愈，占59．62％。4个月～1岁患儿34例（41眼），选用加压冲洗法，一次治愈36眼，占87．80％。1～2岁患儿21例（24眼），选用泪道探通法，一次治愈18眼，占75．00％。结论根据年龄大小，选择性采取泪囊挤压按摩、加压冲洗及泪道探通更为合理而有效治疗先天性鼻泪管阻塞。

The therapy of the congenital obstruation of naso-lacrimal duct

Objective To eraluate the therapeutic efficacy of congenital obstruation of naso-lacrimal duct. Methods Ninty-seven cases ( 117 eyes) of congenital obstruation of naso-lacrimal duct were treated by massaging lacrimal sac,pressor clysis or lacrimal passages probing according to the age. Results Fortytwo cases(52 eyes) whose age from 1 -3 months were treated by massaging lacrimal sac,among them, 31 eyes were healed(59.62％ ). Thirty-four(41 eyes) cases whose age from 4 months to 1 year were treated by pressor clysis,among them, thirty six eyes were healed(87.80％ ). Twenty-four eyes whose age from 1 -2years were treated by lacrimal passages probing,among them,eighteen eyes were healed(75.00％ ). Conclusion The three methods( massaging lacrimal sac, pressor clysis and lacrimal passages probing) according to the age can treat the congenital obsuuation of naso-lacrimal duct efficiently.